Check-up, 16 September 2026
What she answered
- Home blood pressure, last week
- Mean 136/86 mmHg, highest 148/92, measured mornings and evenings — new
- Weight and waist
- 84 kg, waist 94 cm; 3 kg more than in May
- Medication changes since May
- None. Ramipril 5 mg every morning, no missed days
- The statin you stopped in 2024
- Muscle aches in both thighs after six weeks on simvastatin; gone two weeks after stopping — new
- Family history
- Father: heart attack at 58. Mother: type 2 diabetes at 61
- Movement
- Walks 20 minutes on 2 to 3 days; no other exercise
- Anything since the last visit
- Headaches in the afternoon, two or three times a week — new
- What you want to talk about
- Whether I need the cholesterol tablet again
The sheet as she filled it in
Mean 136/86, highest 148/92, mornings and evenings
The mean of the week, and the highest single reading. Both are in your plan of 16 March.
Measured at the navel, standing, after breathing out. Together with the weight this is what the risk calculation uses.
Muscle aches in both thighs after six weeks. Gone two weeks after stopping.
Asked because the chart records simvastatin stopped in March 2024 without a reason.
Headaches in the afternoon, two or three times a week
Answered by the patient on her phone, 14 September 2026. Stored in the chart, dated, marked as answered by the patient.